| NPI | 1407407786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-63148) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AK 225980) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2026-06-05 |